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Rural Health
Resources by Topic: Healthcare needs and services

Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Child Sexual Abuse and Exploitation in Pennsylvania
Presents an overview of child sexual abuse and exploitation in Pennsylvania. Highlights specific issues in rural areas and compares rural and urban areas in the state. Details conclusions and makes policy recommendations.
Additional links: Executive Summary
Author(s): Sarah A. Font, Sheridan Miyamoto, Casey N. Pinto
Date: 01/2020
Sponsoring organization: Center for Rural Pennsylvania
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A Bivariate Mapping Tutorial for Cancer Control Resource Allocation Decisions and Interventions
Discusses the utility of geographic information systems software (ArcGIS) with public health data to inform resource allocation and public health interventions for cancer control planning. Provides step-by-step guidance for developing a bivariate choropleth map (map of two variables) using county data from South Carolina's Behavioral Risk Factor Surveillance System for cervical cancer screening, and data on the availability of cervical cancer screening providers in South Carolina's Breast and Cervical Cancer Early Detection Program.
Author(s): Claire Biesecker, Whitney E. Zahnd, Heather M. Brandt, Swann Arp Adams, Jan M. Eberth
Citation: Preventing Chronic Disease, 17
Date: 01/2020
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Views of Rural US Adults About Health and Economic Concerns
Results of phone surveys of 1705 rural adults, conducted in 2018 and 2019. Explores their views on the most important problems facing their communities, including healthcare access and costs, suicide, and opioid or other drug misuse.
Author(s): Mary G. Findling, Robert J. Blendon, John M. Benson, Justin M. Sayde, Carolyn E. Miller
Citation: JAMA Network Open, 3(1)
Date: 01/2020
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Assessment of Rural-Urban Differences in Postacute Care Utilization and Outcomes Among Older US Adults
Results of a study of 2,044,231 Medicare beneficiaries who were hospitalized in 2011-2015 for pneumonia, stroke, heart failure, hip fracture, or chronic obstructive pulmonary disease (COPD). Examines the frequency, type, and duration of post-acute care, as well as readmission and mortality rates in people discharged to a community or to post-acute care. Features statistics with breakdowns by urban area, rural community adjacent to urban area, or rural community nonadjacent to urban area.
Author(s): Cyrus M. Kosar, Lacey Loomer, Nasim B. Ferdows, et al.
Citation: JAMA Network Open, 3(1)
Date: 01/2020
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Trends in Opioids Prescribed at Discharge From Emergency Departments Among Adults: United States, 2006–2017
Examines trends in emergency department (ED) discharge opioid prescribing for adults from 2006–2007 through 2016–2017. Provides data by selected patient and hospital characteristics and the type of opioids prescribed. Table 1 includes data on the percent of ED patients prescribed an opioid at discharge by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): Pinyao Rui, Loredana Santo, Jill J. Ashman
Date: 01/2020
Sponsoring organization: National Center for Health Statistics
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A Shrinking Primary Care Workforce in Puerto Rico
Discusses Puerto Rico's aging primary care workforce and concerns about the number of healthcare professionals who have left the island following the 2017 hurricane and the relatively low recruitment and retention rate for graduates of Puerto Rico's residency programs. Features statistics showing primary care physician age distribution in Puerto Rico compared with the rest of the United States in 2018.
Author(s): Elizabeth Wilkinson, David Killeen, Gabriel José Pérez-López, Yalda Jabbarpour
Citation: American Family Physician, 101(1),13-14
Date: 01/2020
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Student Interest in a Primary Care of Underserved Populations Course
Results of a study assessing students' interest in a potential Michigan State University course on skills needed to care for and advocate for rural patients and the underserved. Features demographic statistics on survey respondents, with breakdowns by rural or metropolitan hometowns.
Author(s): Jennifer Edwards-Johnson, Julie P. Phillips, Andrea Wendling
Citation: Family Medicine, 52(1), 17-23
Date: 01/2020
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Connecting Rural Older Americans with Technology: Lessons from Senior Planet
Highlights an initiative aiming to increase technology literacy among rural older adults in New York through the launch of technology centers, local partnerships, and training. Discusses implementation and lessons learned, including adapting the program to offer a home-based component.
Date: 2020
Sponsoring organization: Senior Planet
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Special Diabetes Program for Indians 2020 Report to Congress - Changing the Course of Diabetes: Charting Remarkable Progress
Highlights the advancements and improvements in diabetes care and health outcomes for American Indian and Alaska Natives (AI/AN) due to the implementation of evidence-based treatments and local community strategies focused on prevention and treatment of diabetes, and with support from the Special Diabetes Program for Indians (SDPI). Presents statistics demonstrating reductions in mortality and complications from diabetes.
Date: 2020
Sponsoring organization: Indian Health Service
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